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406 Unraveling the mystery of SLE: a look at MHC-II alleles
  1. Suparna Kumar1,2 and
  2. Theresa T Lu1,2,3,4
  1. 1Immunology and Microbial Pathogenesis Program, Weill Cornell Graduate School of Medical Sciences, New York, NY 10065, USA
  2. 2Autoimmunity and Inflammation Program, Hospital for Special Surgery, New York, NY 10021, USA
  3. 3Rheumatology, Hospital for Special Surgery, New York, NY 10021, USA
  4. 4Department of Microbiology and Immunology, Weill Cornell Medicine, New York, NY 10065, USA

Abstract

Systemic Lupus Erythematosus (SLE) is a multifaceted autoimmune disorder characterized by autoantibody production and immune complex deposition in various tissues. Photosensitivity, observed in a substantial subset of SLE patients, involves exacerbated responses to ultraviolet (UV) exposure, triggering cutaneous flare-ups. The pathogenesis of photosensitivity involves the accumulation of apoptotic keratinocytes, which release SLE-associated autoantigens upon UV exposure. This study investigates whether heterozygous major histocompatibility complex class II (MHC-II) alleles, associated with SLE susceptibility, enhance the presentation of apoptotic keratinocyte antigens to T cells. Utilizing the parental New Zealand Black (NZB) and the NZB/New Zealand White F1 (NZB/W F1) mouse strains, both characterized by different susceptibilities to developing SLE-like disease, the role of heterozygous MHC-II alleles was explored. The NZB strain, possessing homozygous MHC-II alleles (I-Ad/d), develops hemolytic anemia, while the NZB/W F1 strain, harboring heterozygous MHC-II alleles (I-Ad/u), mirrors key aspects of human SLE. The findings of this study shed light on the interplay between MHC-II allele heterozygosity and apoptotic keratinocyte antigen presentation, offering a novel perspective on the contribution of MHC-II alleles to SLE pathogenesis. Enhanced understanding of these mechanisms may pave the way for targeted interventions aimed at modulating antigen presentation and mitigating the severity of SLE-associated photosensitivity and inflammation.

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